Q52.4 Other congenital malformations of vagina

The ICD-10-CM code for Other congenital malformations of vagina is Q52.4 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

17: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)

Section

Q50-Q56: Congenital malformations of genital organs (Q50-Q56)

Category Q52

23 codes (19 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q52.4:

• Anomaly, anomalous (congenital) (unspecified type) › canal of Nuck
• Anomaly, anomalous (congenital) (unspecified type) › Gartner's duct
• Anomaly, anomalous (congenital) (unspecified type) › hymen
• Agenesis › hymen
• Accessory (congenital) › hymen
• Anomaly, anomalous (congenital) (unspecified type) › vagina
• Absence (of) (organ or part) (complete or partial) › hymen (congenital)
• Atresia, atretic › vagina (congenital)

Inclusion Terms

• Canal of Nuck cyst, congenital
• Congenital malformation of vagina NOS
• Embryonic vaginal cyst
• Gartner's duct cyst

U.S. Hospital Utilization

• An estimated 1,430 U.S. inpatient stays in 2023 included Q52.4 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

POA indicator for congenital conditions/anomalies and Q00-Q99 exception

Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. Congenital conditions are always considered present on admission.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)